Boudwin, Judith

Boudwin, Judith is an individual health care provider with primary practice located at 1500 Lansdowne Ave , Darby PA 19023-1200. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Boudwin, Judith can be contacted via phone (856) 423-7700.

Contact Information

Primary practice address
1500 Lansdowne Ave Darby PA 19023-1200
Phone: (856) 423-7700
Fax: (856) 423-0823
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN169641L Pennsylvania

Profile Details

NPI number 1578591046
LBN Legal business name Boudwin, Judith
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Feb 18th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578591046 NPPES
Pennsylvania MEDICAID 101600700001
Pennsylvania Other P00209537

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